Individual
MICHELE ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20370 POE SHOLES ROAD, BEND, OR 97701
(510) 337-7950
Mailing address
20370 POE SHOLES ROAD, BEND, OR 97701
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200542641RN
OR
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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